Singleton Health Care Center

In the surveyor’s words

From the most serious findings on record at Singleton Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF607May 26, 2022

  Based on record review, facility policy and procedure review and interview the facility failed to ensure all employees were checked against the Ohio Nurse Aide Registry (NAR) prior to or on their first day of work/hire to ensure the employee did not have a finding entered into the State nurse aide registry concerning abuse, neglect, exploitation, mistreatment of [MEDICAL RECORD OR PHYSICIAN ORDER] . This had the potential to affect all 49 residents residing in the facility. Findings include: Review of the personnel file for Registered Nurse (RN) #260 revealed a hire date of 05/02/22. There was no printed evidence of RN #260 being checked against the NAR. Review of the personnel file for Housekeeper #262 revealed a hire date of 02/02/22. […]

• No harm, potential for more than minimal, widespreadF835May 26, 2022

  Based on record review, observations, and interviews the facility administration failed to ensure its resources were effectively and efficiently managed to attain and maintain the highest practicable physical, mental, and psychosocial well-being of all 48 residents residing in the facility. The facility census was 49. Findings include: The following concerns were identified during the annual survey: 1. Review of the medical records of Residents #26 and #31 revealed documentation Resident #24 was witnessed hitting Resident #31. Interview on 05/25/22 at 11:53 A.M. […]

• No harm, potential for more than minimal, widespreadF880May 26, 2022

  Based on observation, interview, record review, facility policy review, and review of guidelines from the Centers for Disease Control and Prevention, the facility failed to maintain infection control practices to prevent the spread of infectious diseases by failing to ensure the appropriate storage of clean linen and handling of soiled linen. This had the potential to affect all 49 residents who resided in the facility. Findings include: 1. Observation on 05/23/22 at 12:23 P.M. revealed a clean linen cart with three shelves located next to room [ROOM NUMBER]. Each shelf was stocked with bed linens, incontinence pads, gowns, washcloths, and briefs. There was one sheet applied to the highest shelf which left the lower two shelves with clean linen exposed. […]

• No harm, potential for more than minimal, patternF568Feb 27, 2026

  Based on medical record review, financial record review, staff interview, and facility policy review, the facility failed to ensure financial records were timely update. This affected 14 (Residents #50, #7, #8, #51, #13, #16, #21, #22, #52, #31, #35, #36, #46, and #53) of 14 resident financial records reviewed. The census was 49.Findings Include:Resident #50 was admitted to the facility on [DATE]. His diagnoses were hypertension, sepsis, and paranoid schizophrenia. Review of Resident #50's minimum data set (MDS) assessment revealed his cognitive status had not been completed.Review of Resident #50's resident trust account information, dated 02/27/26, revealed he had a negative balance in his account of -$970.99.Resident #7 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF842Feb 27, 2026

  Based on medical record review and staff interview, the facility failed to ensure resident records were complete and accurate. This affected one (Resident #46) of three resident records reviewed. The census was 49.Findings Include:Resident #46 was admitted to the facility on [DATE]. His diagnoses were type II diabetes, hydrocephalus, spondylosis, cognitive communication deficit, vitamin D deficiency, insomnia, vascular dementia, hypertension, hyperlipidemia, chronic obstructive pulmonary disease, alcohol abuse, atherosclerotic heart disease, alcohol abuse, and chronic kidney disease. Review of his minimum data set (MDS) assessment, dated 01/15/26, revealed he had a severe cognitive impairment. […]